Virtual Tough Training – The Extraordinary Clinical Leader – August ’23 – VIDEO
The Extraordinary Clinical Leader must consistently produce RESULTS. In this 2023 Tough Training, Andrew Reed speaks plainly about the responsibility of leading a Hospice clinical team—from owning every result and teaching Accountability to developing clinicians who perform The Perfect Visit with Perfect Documentation. Leadership is not merely holding a position or supervising people; it is creating the conditions where employees become confident, capable, and increasingly Self-Regulating.
Andrew moves deeply into the practical work of the Clinical Leader: using System7, written manuals, testing, visit laboratories, video evaluation, Benchmarking, Compensation, and objective reporting to reduce variability and raise Quality. He explains why the goal of The Perfect Visit is to make the Caregiver the Hero, why documentation must communicate the bruised reality of the Patient’s condition, and why Clinical Leaders must understand both the profound Meaning of Hospice and the Economics required to sustain it. At the center is a Leader who models precision, develops people, protects Standards, and creates a team unified by Success.
This Tough Training Covers
- Why the defining responsibility of a Clinical Leader is producing consistent Results.
- Owning the team’s outcomes rather than relying on blame, excuses, or circumstances.
- Teaching Accountability during IDG/IDT meetings and throughout daily operations.
- Why true advancement begins when individuals take Ownership of their work and lives.
- Creating a Leader–employee relationship that strengthens Development, Morale, and Retention.
- Modeling precision and respect for Time, including structural tools such as the late jar.
- Why meaningful Leadership requires Goodness with an Edge—saying what you mean and meaning what you say.
- Using written manuals, testing, and System7 to establish knowledge and remove “I didn’t know” as an excuse.
- Understanding national Benchmarking, including norms of Quality, Cost, Caseloads, Labor, and organizational performance.
- Implementing The Perfect Visit with Perfect Documentation without prematurely weakening or changing the structure.
- Making the Caregiver the Hero by teaching families to provide care confidently in the Hospice team’s absence.
- Reducing variability through visit structures, standardized language, and clearly defined expectations.
- Building a Visit Laboratory with recorded scenarios, video review, and progressive levels of difficulty.
- Evaluating how clinicians respond to difficult, emotional, or escalating Patient and Family situations.
- Teaching the six phases of The Perfect Visit and treating every visit as a meaningful Performance.
- Creating Documentation that accurately communicates decline, distress, and the reality of the Patient’s condition.
- Identifying dangerous documentation language such as “stable,” “no change,” “unable to assess,” and “good day.”
- Designing Perfect Phone Interactions that create consistency, trust, and strong first impressions.
- Understanding Compensation as Motivation and using financial structure to reinforce Standards and Accountability.
- Reading team and location reports so Leaders can identify deviations, compare performance, and learn from Winners.
- Balancing the Meaning and Purpose of Hospice with the Economics necessary to sustain World-Class care.
- Creating conditions for Self-Regulation so problems are corrected at the lowest appropriate level without unnecessary supervision.

